Raymond V Distephan, MSW
Social Worker, Clinical in Brookfield, Connecticut
1851803449- Practice location
- 11 Old Woods RD, Brookfield, CT 06804-3630
- Phone
- 917-922-9680
- Fax
- —
- Last updated
- June 2, 2023
Raymond Vincent Distephan is a Social Worker, Clinical based in Brookfield, CT. Raymond Vincent Distephan practices in Brookfield, CT and has the professional credentials of MSW. The NPI Number for Raymond Vincent Distephan is 1851803449 and holds a License No. 072615-1 (NY). The current practice location address for Raymond Vincent Distephan is 11 Old Woods RD, Brookfield, CT 06804-3630 and can be reached out via phone at 917-922-9680.
Provider Profile Details
- NPI Number
- 1851803449
- Provider Name
- Raymond Vincent Distephan
- Credential
- MSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Old Woods RD, Brookfield, CT 06804-3630
- Phone Number
- 917-922-9680
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 3, 2017
- Last Update Date
- June 2, 2023
- Certification Date
- June 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Old Woods RD
Brookfield, CT 06804-3630 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-3630
- Phone Number
- 917-922-9680
Provider Business Mailing Address Details
- Address
- 11 Old Woods RD
Brookfield, CT 06804-3630 - City
- Brookfield
- State
- CT
- Zip
- 06804-3630
- Phone Number
- 917-922-9680
License Information
- License Number
- 072615-1
- License State
- NY
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Raymond V Distephan, MSW?
The NPI number of Raymond V Distephan, MSW is 1851803449. It was assigned on November 3, 2017 and is currently active in the NPPES registry.
What is the specialty of Raymond V Distephan, MSW?
Raymond V Distephan, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 072615-1.
Where does Raymond V Distephan, MSW practice?
The practice location is 11 Old Woods RD, Brookfield, CT 06804-3630. The office can be reached at 917-922-9680 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851803449 directly on the NPPES registry website.